Cutaneous Larva Migrans Masquerading as Tinea Corporis: A Case Report

Dhanaraj, Manoharan; Ramalingam, Manoharan

doi:10.7860/jcdr/2013/5359.3510

Cited by 6 publications

(6 citation statements)

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“…7 However, due to the atypical skin lesions seen in some patients, they are easily misdiagnosed with papular urticaria, urticarial vasculitis, chronic migratory erythema, and tinea corporis. 8 The application of emerging skin imaging technologies such as dermatoscopy and RCM has great value in diagnosing and differential diagnosis. Dermoscopy is a fast and convenient non-invasive means of examining the surface of the skin, overcoming the disadvantage of the naked eye that can not detect various morphological features, thereby improving the clinical diagnostic accuracy of various skin diseases.…”

Section: Discussionmentioning

confidence: 99%

Reflectance Confocal Microscopy and Dermoscopy For the Diagnosis and Treatment of Cutaneous Larva Migrans

Tang¹,

Huang²,

Cai³

et al. 2023

CCID

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Section: Discussionmentioning

confidence: 99%

Reflectance Confocal Microscopy and Dermoscopy For the Diagnosis and Treatment of Cutaneous Larva Migrans

Tang¹,

Huang²,

Cai³

et al. 2023

CCID

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“…Lezyonlar genellikle alt ekstremitelerde özellikle de ayak dorsal ve plantar yüzlerde görülmektedir 1, 5,6 . Bunun dışında genital bölge, kafa derisi, üst ekstremite ve gövdeyi de tutan KLM olguları bildirilmiştir [6][7][8][9] . Bizim olgumuzda da benzer olarak ayak ve kollarda tipik lezyonlar ve yoğun kaşıntı mevcuttu.…”

Section: Discussionunclassified

“…KLM için nemli ve sıcak iklimli coğrafi bölgelerde yaşamak ve/veya bu bölgelere seyahat etmek, toprak veya yalınayak temas halinde olmak risk faktörleri olarak bilinmektedir. Hastalığın endemik olduğu tropikal ve subtropikal bölgelere seyahat sonrası meydana gelmiş çok sayıda olgu bulunmaktadır [6][7][8][9][10] . Bizim olgumuzda da Brezilya Amazon gezisinde yalınayak kumlarda dolaşma ve trekking yapma öyküsü mevcuttu.…”

Section: Discussionunclassified

Cutaneous Larva Migrans in Turkey: An Imported Case Report

Sönmezer¹,

Erdinç²,

Tülek³

et al. 2017

Mikrobiyol Bul

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Cutaneous larva migrans (CLM) is a parasitic infection most commonly found in tropical and subtropical areas. However, with the ease and increase of foreign travel to many countries around the world, the infection is not limited to these areas. CLM is an erythematous, serpiginous infection with skin eruption caused by percutaneous penetration of the larvae to the skin. In this report, a case diagnosed as imported CLM after an Amazon trip and treated with albendazole was presented. A 36 year-old male patient admitted to infectious diseases clinic with intense itching, erythematous, raised, streaklike serpiginious eruptionand some redness at bilateral foot especially at the right foot for about one week. The patient was living in Turkey, and travelled to Brazil for an Amazon trip three months ago and the lesions began immediately after this occasion. CLM was diagnosed with the typical lesions in the patient and oral albendazole treatment 2 x 400 mg/day for 3 consecutive days was carried out with oral amoxicillin/clavulanat 3 x 1 g/day for the secondary bacterial infection. The patient responded very well to oral albendazole treatment with a result of a rapid improvementof pruritus in days and no side effect was observed during the treatment period.After discharge, during his controlit was seenthat the lesions were regressed with leaving hyperpigmentation. In cases with cutaneous larva migrans, diagnosis is often made by the presence of pruritic typical lesions and tunnels, travel story to endemic regions, the story of barefoot contact with sand and soil in these regions, and the sun tanning story on the beach. The lesions are often seen in the lower extremities, especially in the dorsal and plantar surface of the foot. Laboratory findings are not specific. Temporary peripheral eosinophilia can be seen and biopsy can be done to confirm the diagnosis but usually no parasite is seen in the histopathological examination. Contact dermatitis, bacterial and fungal skin infections and other parasitic diseases should be considered in differential diagnosis. For the treatment ivermectin 1 x 200 mg/kg single dose or albendazole 400 mg/day for three days is recommended. As a result, cutaneous larva migrans should be kept in mind especially in patients with a history of travel to endemic areas and a history of bare feet contact with sandy beaches and soil in this region and with itchy, red and serpiginous skin lesions.

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“…Uncommon clinical presentations: hair follicle inflammation known as “hookworm folliculitis” most frequently in the gluteal region; diffuse multifocal papulo-vesicular eruption localized mainly on the chest, back and abdomen; and migrating urticaria are seen sometimes ( 3 ). Differential diagnosis includes: scabies, erythema chronicum migrans, larva currens, epidermal dermatophyte infection and phytophotodermatitis ( 6 , 11 ). CLM usually heals spontaneously within weeks or months, as the larvae are unable to complete their life cycle in humans and die ( 15 , 17 ).…”

Section: Discussionmentioning

confidence: 99%

“…The zoodermatosis is caused by third-stage larvae parasites of the small intestine of cats, dogs or other mammals; found mostly in tropical and subtropical regions like the Caribbean, South USA, Asia, Australia and Africa ( 3 - 5 ). Commonly found parasites in CLM are Ancylostoma braziliense and Ancylostoma caninum , followed by Necator americanus , Uncinaria stenocephala , Strongyloides stenocephala , Ankylostoma ceylonicum , Bubostomum phlebotomus, Strongyloides stercoralis, Dirofilaria spp , Spirometra spp or Gnathostoma spp ( 6 - 8 ). Humans become infected when they walk through contaminated areas barefoot or with open-type shoes, or by sitting in tainted soil or sand which is polluted with faeces of host mammals ( 9 , 10 ).…”

Section: Introductionmentioning

confidence: 99%

Falls in Diagnosis of Cutaneous Larva Migrans-a Case Report from Kosovo

Kokollari¹,

Gërçari²,

Blyta³

et al. 2015

Med Arh

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INTRODUCTION:Cutaneous larva migrans (CLM) is a dermatitis caused by hookworm larvae inoculation in the skin, most commonly acquired among individuals in tropical and sub-tropical areas or travelers who have visited those areas. The typical clinical presentation consists of itchy serpiginous lesion that advances.CASE REPORT:We are reporting a long time misdiagnosed case of a 37-year-old farmer from continental European region with a typical clinical presentation, and no history of traveling to endemic areas. We made the diagnosis of the CLM based on the patient’s history of itchy skin that had advanced for a few months, and clinical characteristics of the lesion in the right gluteus region consisting of erythema, papula and vesicles, together with erythematous/livid serpiginous tracks that formed an irregular and capricious path. The patient was successfully treated with oral mebendazole twice daily for three days and local therapy.

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Cutaneous Larva Migrans Masquerading as Tinea Corporis: A Case Report

Cited by 6 publications

References 0 publications

Reflectance Confocal Microscopy and Dermoscopy For the Diagnosis and Treatment of Cutaneous Larva Migrans

Reflectance Confocal Microscopy and Dermoscopy For the Diagnosis and Treatment of Cutaneous Larva Migrans

Cutaneous Larva Migrans in Turkey: An Imported Case Report

Falls in Diagnosis of Cutaneous Larva Migrans-a Case Report from Kosovo

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